Sleep-Related Problems and the Effects of Anxiety Treatment in Children and Adolescents

Nicole E. Caporino*, Kendra L. Read, Nina Shiffrin, Cara Settipani, Philip C. Kendall, Scott N. Compton, Joel Sherrill, John Piacentini, John Walkup, Golda Ginsburg, Courtney Keeton, Boris Birmaher, Dara Sakolsky, Elizabeth Gosch, Anne M. Albano

*Corresponding author for this work

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

This study examined (a) demographic and clinical characteristics associated with sleep-related problems (SRPs) among youth with anxiety disorders, and (b) the impact of anxiety treatment: cognitive-behavioral therapy (CBT; Coping Cat), medication (sertraline), their combination, and pill placebo on SRPs. Youth (N = 488, ages 7–17, 50% female, 79% White) with a principal diagnosis of generalized anxiety disorder, separation anxiety disorder, or social phobia participated. SRPs were reported by parents and youth. Findings differed by informant and by type of SRP, with evidence that SRPs are associated with age, anxiety severity, externalizing problems, functional impairment, and family burden at pretreatment. Anxiety treatment reduced SRPs; effect sizes were small to medium. Reductions in parent-reported separation-related sleep difficulties were significantly greater in active treatment than in the placebo condition, with the greatest reductions reported by parents of youth whose active treatment was multimodal or included sertraline. Youth whose anxiety treatment involved CBT reported significantly greater decreases in dysregulated sleep (e.g., sleeplessness). Both CBT for anxiety and sertraline appear to be somewhat effective in reducing SRPs, and multimodal treatment may be preferable depending on the symptom presentation. To inform practice, future research should examine a broad range of SRPs, incorporate objective measures of sleep, and evaluate the impact of behavioral strategies that directly target SRPs in youth with anxiety disorders.

Original languageEnglish (US)
Pages (from-to)675-685
Number of pages11
JournalJournal of Clinical Child and Adolescent Psychology
Volume46
Issue number5
DOIs
StatePublished - Sep 3 2017

Fingerprint

Sleep
Anxiety
Sertraline
Therapeutics
Anxiety Disorders
Combined Modality Therapy
Parents
Placebos
Separation Anxiety
Sleep Initiation and Maintenance Disorders
Cognitive Therapy
Cats
Demography

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology

Cite this

Caporino, N. E., Read, K. L., Shiffrin, N., Settipani, C., Kendall, P. C., Compton, S. N., ... Albano, A. M. (2017). Sleep-Related Problems and the Effects of Anxiety Treatment in Children and Adolescents. Journal of Clinical Child and Adolescent Psychology, 46(5), 675-685. https://doi.org/10.1080/15374416.2015.1063429
Caporino, Nicole E. ; Read, Kendra L. ; Shiffrin, Nina ; Settipani, Cara ; Kendall, Philip C. ; Compton, Scott N. ; Sherrill, Joel ; Piacentini, John ; Walkup, John ; Ginsburg, Golda ; Keeton, Courtney ; Birmaher, Boris ; Sakolsky, Dara ; Gosch, Elizabeth ; Albano, Anne M. / Sleep-Related Problems and the Effects of Anxiety Treatment in Children and Adolescents. In: Journal of Clinical Child and Adolescent Psychology. 2017 ; Vol. 46, No. 5. pp. 675-685.
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Caporino, NE, Read, KL, Shiffrin, N, Settipani, C, Kendall, PC, Compton, SN, Sherrill, J, Piacentini, J, Walkup, J, Ginsburg, G, Keeton, C, Birmaher, B, Sakolsky, D, Gosch, E & Albano, AM 2017, 'Sleep-Related Problems and the Effects of Anxiety Treatment in Children and Adolescents', Journal of Clinical Child and Adolescent Psychology, vol. 46, no. 5, pp. 675-685. https://doi.org/10.1080/15374416.2015.1063429

Sleep-Related Problems and the Effects of Anxiety Treatment in Children and Adolescents. / Caporino, Nicole E.; Read, Kendra L.; Shiffrin, Nina; Settipani, Cara; Kendall, Philip C.; Compton, Scott N.; Sherrill, Joel; Piacentini, John; Walkup, John; Ginsburg, Golda; Keeton, Courtney; Birmaher, Boris; Sakolsky, Dara; Gosch, Elizabeth; Albano, Anne M.

In: Journal of Clinical Child and Adolescent Psychology, Vol. 46, No. 5, 03.09.2017, p. 675-685.

Research output: Contribution to journalArticle

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T1 - Sleep-Related Problems and the Effects of Anxiety Treatment in Children and Adolescents

AU - Caporino, Nicole E.

AU - Read, Kendra L.

AU - Shiffrin, Nina

AU - Settipani, Cara

AU - Kendall, Philip C.

AU - Compton, Scott N.

AU - Sherrill, Joel

AU - Piacentini, John

AU - Walkup, John

AU - Ginsburg, Golda

AU - Keeton, Courtney

AU - Birmaher, Boris

AU - Sakolsky, Dara

AU - Gosch, Elizabeth

AU - Albano, Anne M.

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